Q. I had a total mastectomy as part of my treatment for breast cancer. Because I lost the function of my lymph nodes, there is a blockage of lymph flow, leading to a condition of lymphedema. I receive physical therapy (manual draining) to promote lymph flow and reduce the swelling, but I was wondering if there are any natural medicines that could help.

A.Yes there is something that can help—an extract of butcher’s broom (Ruscus aculeatus). This subshrub of the lily family that grows in the Mediterranean region has been shown to be helpful in post-mastectomy lymphedema. In addition to this application, butcher’s broom extracts are used extensively, both internally and externally, in Europe in the treatment of varicose veins and hemorrhoids. The active ingredients in butcher’s broom are ruscogenins. These compounds have demonstrated a wide range of pharmacological actions, including anti-inflammatory and vasotonic (promoting better tone of the veins) effects.

The recommended amount for standardized butcher’s broom extract (9–11% ruscogenin content) is 100 mg three times daily. No significant side effects have been reported. Combined with the physical therapy treatment you are receiving, you should see significant reduction in the swelling and pain.